A 30-year-old female presents to the emergency room with a chief complaint of yellow, creamy vaginal discharge and difficulty with urination.  She states these symptoms started about 3 days ago, and she thought she had a urinary tract infection. She denies pelvic pain.  The patient had unprotected sexual intercourse in the last two weeks with her new partner. She denies any lower back pain or foul-smelling urine or frequency.
 
PMH: Negative.
 
Vital signs: Vital signs T 98.8 F, Pulse 80, Respiration 22, O2 sat 99% on room air.
 
Cardio-respiratory: Unremarkable for murmurs, rubs, clicks, or gallops.
 
Abdominal: Negative for any pain or tenderness to deep palpation. 
 
Pelvic exam: Mucopurulent vaginal discharge and erythema to cervix with some bleeding noted to the cervix when touched with the swab.  No masses on bimanual exam.
 
The Assignment (1- to 2-page case study analysis)
 
In your Case Study Analysis related to the scenario provided, explain the following:
 
· The factors that affect fertility (STDs).
 
· Why inflammatory markers rise in STD/PID.
 
3 references